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1639765704
MUJTABA NP IN FAMILY HEALTH, P.C.
CORONA, NY
NPI
1639765704
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Entity Type
Organization
Authorized Contact
ATHAR MUJTABA
CEO/Provider
917-982-5007
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2020-12-14
Last Update Date
2020-12-22
Business Address
MUJTABA NP IN FAMILY HEALTH, P.C.
10426 ROOSEVELT AVE
CORONA, NY 11368-2328
Phone number: 718-533-0991
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Mailing Address
MUJTABA NP IN FAMILY HEALTH, P.C.
10426 ROOSEVELT AVE
CORONA, NY 11368-2328
Phone number: 917-982-5007
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